Csf shunt reprogram 62252 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$331.96
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$745.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$123.67 with AETNA vs $14,615.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $123.67 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $134.10 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $172.10 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $180.99 | ↓ -45% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $331.96 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $331.96 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $331.96 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $331.96 | ↑ +0% |
| VACCN | ALL PRODUCTS | $331.96 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $348.56 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $361.83 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $398.35 | ↑ +20% |
| BEACON | ALL PRODUCTS | $558.75 | ↑ +68% |
| BERGEN RISK | ALL PRODUCTS | $558.75 | ↑ +68% |
| HORIZON | PIP | $567.69 | ↑ +71% |
| QUALCARE | PPO | $578.87 | ↑ +74% |
| AETNA | ASA | $583.34 | ↑ +76% |
| HORIZON | OMNIA | $591.08 | ↑ +78% |
| CIGNA | BH | $596.00 | ↑ +80% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $633.25 | ↑ +91% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $633.25 | ↑ +91% |
| AMERIHEALTH | LOCAL HMO | $650.83 | ↑ +96% |
| QUALCARE | WORKERS COMP | $655.60 | ↑ +97% |
| HORIZON | SHP | $723.17 | ↑ +118% |
| HORIZON | HMO | $726.97 | ↑ +119% |
| HORIZON | INDEMNITY | $734.94 | ↑ +121% |
| AMERIHEALTH | REGIONAL HMO | $737.10 | ↑ +122% |
| HORIZON | PPO | $745.00 | ↑ +124% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +258% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +450% |
| CIGNA | HMO | $2,247.00 | ↑ +577% |
| CIGNA | PPO | $2,518.00 | ↑ +659% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +745% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +899% |
| QUALCARE | HMO | $6,256.00 | ↑ +1785% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2962% |
| AETNA | PPO | $10,202.00 | ↑ +2973% |
| AETNA | HMO | $10,202.00 | ↑ +2973% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +4303% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Csf shunt reprogram 62252 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $331.96 | $331.96 – $398.35 |
| Hackensack University Medical Center | Hackensack | $353.19 | $188.05 – $370.85 |
| Ocean University Medical Center | Brick | $327.77 | $180.99 – $393.32 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $332.25 | $188.05 – $332.25 |
| Palisades Medical Center | North Bergen | $353.19 | $188.05 – $384.98 |
| Raritan Bay Medical Center | Perth Amboy | $332.25 | $188.05 – $485.36 |
| Riverview Medical Center | Red Bank | $331.96 | $180.99 – $398.35 |
| Southern Ocean Medical Center | Manahawkin | $327.77 | $180.99 – $393.32 |